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Individual

DONNA JEANNE FEMINO CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
84 RYDER RD, NORTH FALMOUTH, MA 02556-1495
(508) 563-7220
(508) 563-7220
Mailing address
POB 1495, 84 RYDER RD, NORTH FALMOUTH, MA 02556-1495
(508) 563-7220
(508) 563-7220

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
120402
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN0682
BCBS
Enumeration date
10/16/2006
Last updated
06/30/2008
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